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HomeMy WebLinkAboutBrewer Yacht 041°Se pqrity; JUDITH T. TERRY 4 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS T r Southold, New York 11971 MARRIAGE OFFICER � � Tel phonFax e(5 6) 765 765-1823- ® 1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 116-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X New Existing X Name Of Owner BREWER YACHT YARD AT GREENPORT • Mailing Address 1 MANHANSET AVENUE Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 MANHANSET AVENUE Property Address 2 (SYSTEM 1 ) City St Zip GREENPORT NY 11944-0000 Owner. Telephone No. 516-477-9594 Tax Map No. section 43.00 block 3 lot 2.000 Cross Street BEACH ROAD Date Of Last Pump Out 0/00/00 • Issue Date: 1/16/91 Judith T. Ter Southold Town Clerk (TOWN SEAL) %If DLit' JUDITH T. TERRY �` Town Hall, 53095 Main Road TOWN CLERK tip P.O. Box 1179 REGISTRAR OF VITAL STATISTICSrTitiJ Southold, New York 11971 MARRIAGE OFFICER : � Fax (516) 765-1823 =41P® ,�, ��®4.i Telephone (516) 765-1801 N. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 117-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X New Existing X Name Of Owner BREWER YACHT YARD AT GREENPORT Mailing Address 1 MANHANSET AVENUE Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 MANHANSET AVENUE Property Address 2 (SYSTEM 2) City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-9594 Tax Map No. section 43.00 block 3 lot 2.000 Cross Street BEACH ROAD Date Of Last Pump Out 0/00/00 • Issue Date: 1/16/91 Judith T. Ter Southold Town Clerk (TOWN SEAL) • OFFICE OF THE TOWN CLERK Town of Southold �cjVFFO(� . C' Application No. //� Judith T. Terry, Town Clerk Town Hall, 53095 Main Road $10.00 - Residential p. O. Box 1179 c.r3 ';�' _` tri $25.00 - Non-Residential Southold, New York 11971 4 ; ' ' O •'`�� Telephone * �� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE /2/1 'St 0 OWNER NAME: Ue.E if.e_ 'AC4 Y41943 Rr egargsifticr I4C. OWNER MAILING ADDRESS: MA,IL-144T AVE 62iMP0(2-3- NH 1l'9+4 OWNER PROPERTY ADDRESS: 5AwtE OWNER TELEPHONE NUMBER: (516 L\-r) 95 -I TAX MAP NO. : Section `f'3 Block 3 Lot 2 CROSS STREET: 1SEgc4 PSD TYPE OF SYSTEM: Septic Tank X New Existing ' Sy3T -4 \ Cesspool New Existing x Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: FvEz LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) S' nature of Applicant RECEIVED BY: Town Clerk's Office RECEIVED DATE: Teton Clerk Soutfi®1tl' r as OFFICE OF THE TOWN CLERK �S�FF�(�(r�,- Town of Southold O� � = Application No. X77 Judith T. Terry, Town Clerk w;, h‘. %‘) %'� $10.00 - Residential Town Hall, 53095 Main Road g ': P. O. Box 1179 u-3 •• • $25.00 - Non-Residential V Southold, New York 11971 Op® ;'"T` `� , Telephone Q( %R° (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE ly iaylv 'OWNER NAME: 4 1 `0,c41" `'UZo ar GR. nlfber I4C. OWNER MAILING ADDRESS: ►vIA4P-Msr-T ave OWNER PROPERTY ADDRESS: 5AP OWNER TELEPHONE NUMBER: (516\ y?? 59'-I a I TAX MAP NO. : Section y3 Block � Lot Z CROSS STREET: LEAN itoA0 TYPE OF SYSTEM: Septic Tank X New Existing X Cesspool New Existing 5�5 )� Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: taeh/r2- LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) S'.nature of Applicant RECEIVED BY: Town Clerk's Office DATE: